Becky A Ellsworth A.A.S, LCMT

NPI 1265704373 - Massage Therapist - 225700000X

NPI Details
NPI 1265704373
Gender Female
Enumeration Date 02/04/2012
Last Updated 02/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7 GEORGE ST
PAWTUCKET RI, 02860-4006, US
Phone (401) 206-1438
Fax
Business Location
77 LEVESQUE ST
WARWICK RI, 02886-0752, US
Phone (401) 206-1438
Fax
Toxanomy
Taxonomy Code 225700000X
License State Rhode Island
License Number MT01068
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According to our database, Becky A Ellsworth A.A.S, LCMT NPI is 1265704373, taxonomy code is 225700000X and license number is MT01068, license state is located at Rhode Island. Becky A Ellsworth A.A.S, LCMT physically located at 7 George St, Pawtucket RI, 02860-4006. NPI Number Becky A Ellsworth A.A.S, LCMT has the Individual type.

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1265704373 NPI number is provided on an as is basis without warranty of any kind. 1265704373 is maintained by the National Plan & Provider Enumeration System. The contents of Becky A Ellsworth A.A.S, LCMT are for informational purposes only.